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Differentiated Models of HIV Service Delivery

The adoption of the WHO “Treat All” recommendations, coupled with the Government of Tanzania’s acceptance of the UNAIDS 90-90-90 targets, represents a significant step forward in the fight against HIV and AIDS in Tanzania. [1] However, bridging the gap between the current testing and ART access rates and the 90-90-90 targets has required the Government of Tanzania to carefully examine and address the challenges and barriers to service delivery. Tanzania's MOH adopted a differentiated service delivery model to better respond to the needs of people living with HIV (PLHIV).

I-TECH partnered with the International AIDS Society (IAS) to assist the Ministry of Health to implement an innovative approach known as differentiated care in Tanzania. IAS defines differentiated service delivery as a "client-centered approach that simplifies and adapts HIV services along the cascade of care to reflect the preferences and expectations of various groups of PLHIV." [2] I-TECH conducted a mapping exercise to identify all HIV service delivery models implemented in Tanzania. This process helped generate recommendations for the implementation of differentiated HIV care in the country to guide the revision of national guidelines for HIV management. I-TECH is also leading the development of operational manuals, job aides and M&E tools to operationalize these new models of care. 


1. UNAIDS. 90-90-90 – an ambitious treatment target to help end the AIDS epidemic. Geneva; 2014.

2. International AIDS Society (IAS). Differentiated care website.
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